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Biomedical subjects

N Glass

Publications and source records attributed to N Glass.

At least 19 recordsLinked to original sources
PubMed2001

Intimate partner violence screening and intervention: data from eleven Pennsylvania and California community hospital emergency departments.

OBJECTIVE: To provide clinical practice recommendations for screening and interventions for intimate partner violence (IPV) in ED settings. SETTING: Eleven mid-sized community-level hospital emergency departments (20,000 to 40,000 admissions annually) in Pennsylvania and California. PARTICIPANTS: All women (4641) aged 18 years or older who came to the emergency department during 309 selected shifts. METHODS: An anonymous survey inquiring about physical, sexual, and emotional IPV was conducted from 1995 through 1997. In addition, medical records were abstracted for every woman (18 years and older) seen in the 11 participating emergency departments during the study period. RESULTS: The vast majority of both abused and nonabused women supported routine screening for IPV; however, fewer than 25% of women said they were asked about IPV by ED staff. ED screening rates for IPV were higher among women who came to the emergency department because of acute trauma from abuse (39%) than for women who reported that they had been abused within the past year (13%). The prevalence of past year and lifetime IPV was significantly higher when the questionnaire was self-administered than when it was administered by a nurse. More than a third of women who had recently been abused and 76% of women who acknowledged experiencing physical or sexual IPV within the past year reported that they did not come to the emergency department for treatment of an injury. Although the majority of women (76% to 90%) agreed with the concept of health care providers reporting IPV to the police, women abused recently were significantly less likely to support this practice. CONCLUSION: The study provides evidence supporting standard protocols for routine screening for IPV among women who come to emergency departments and chart prompts for both screening and interventions. These actions are acceptable to the majority of both abused and nonabused women seen in the emergency department and should be considered in systematic repeated training of health care professionals in emergency departments. This information is important for health care providers who are seeking to improve their identification of and care for abused women.

California↗
PubMed2001

An evaluation of a system-change training model to improve emergency department response to battered women.

OBJECTIVES: To evaluate a system-change model of training from the Family Violence Prevention Fund and the Pennsylvania Coalition Against Domestic Violence for improving the effectiveness of emergency department (ED) response to intimate partner violence (IPV). METHODS: An experimental design with outcomes measured at baseline, 9-12, and 18-24 months post-intervention. Twelve hospitals in Pennsylvania and California with 20,000-40,000 annual ED visits were randomly selected and randomly assigned to experimental and control conditions. Emergency department teams (physician, nurse, social worker) from each experimental hospital and a local domestic violence advocate participated in a two-day didactic information and team planning intervention. RESULTS: The experimental hospitals were significantly higher than the control hospitals on a staff knowledge and attitude measure (F = 5.57, p = 0.019), on all components of the "culture of the ED" system-change indicator (F = 5.72, p = 0.04), and in patient satisfaction (F = 15.43, p < 0.001) after the intervention. There was no significant difference in the identification rates of battered women (F = 0.411, p = 0.52) (although the linear comparison was in the expected direction) in the medical records of the experimental and control hospitals. CONCLUSIONS: A system-change model of IPV ED training was effective in improving staff attitudes and knowledge about battered women and in protocols and staff training, as well as patient information and satisfaction. However, change in actual clinical practice was more difficult to achieve and may be influenced by institutional policy.

Attitude of Health Personnel↗
PubMed2001

Views of nurses, patients and patients' families regarding palliative nursing care.

This article presents the findings of a 3-phase project, that used the qualitative approach of storytelling to examine the degree of congruency between the perceptions of nurses, patients and patients' families respectively, in relation to the nature and effects of palliative nursing care. The major difference in the stories was the slight emphasis on the personal qualities palliative nurses bring to their work and the activities in which they engage. Nurses emphasized their work activities, whereas patients and relatives gave equal emphasis to the positive and negative aspects of nurses' qualities and activities.

Adult↗
PubMed2001

The dis-ease of nursing academia: putting the vulnerability 'out there' (Part 1).

This article is the first in a two-part series on a recent research study investigating the lived experiences of women nurse academics in Australia. This article begins with a discussion on the growing necessity of nurses to care for one another while working in stressful environments. The author then discusses the need to research nurse academics. The majority of the article focuses on the methodological considerations associated with planning and researching the above topic. A comprehensive discussion of research methodology, methods and ethical concerns ensues.

Academic Medical Centers↗
PubMed2001

The dis-ease of nursing academia: putting the vulnerability 'out there' (Part 2).

In this article, the second in a two-part series on research investigating the lived experiences of women nurse academics in australia, the results of the study are revealed. The major findings indicated that the Australian university system remains competitive and non-supportive of women nurse academics. The women who participated in this study had a strong desire to share their stories and reveal their vulnerability associated with their everyday life experiences in universities. Cultural descriptions revealed the complexity of women nurse academics' vulnerability as well as the dimensions of emotional resilience and optimism for their associated emotional healing.

Academic Medical Centers↗
PubMed2001

Epistemology at work: the ontological relationship between feminist methods, intersubjectivity and nursing research--a research exemplar.

This article explores the importance of strong epistemological and ontological links in nursing research by examining the design and process of a recent research project. The research topic concerns the relationship between self-concept and nursing practice. In this article, the authors demonstrate that commitment to a methodologically consistent process and the necessary associated epistemological and ontological positions provides a depth and structure to nursing research. It is the authors' belief that such consistency within research acts to strengthen the research process, and consequently strengthens nursing's research base and knowledge.

Feminism↗
PubMed2000

An experience of peer mentoring with student nurses: enhancement of personal and professional growth.

This article discusses the importance of peer mentoring in nursing education. The current literature is reviewed and areas for further research are identified. Most specifically, the article explores the results of a recent research study conducted at Southern Cross University in Australia. The research investigated the relationship between personal and professional growth and peer mentoring with a group of women nurses. Seven nurses participated in this qualitative research project. Six of the participants were student nurses enrolled in an undergraduate nursing degree and the seventh participant was the degree program coordinator. The research was conducted over a 12-week period and was located in critical paradigm. The research methods used were reflective journaling and interviewing. The results indicated that the process of peer mentoring in nursing education demonstrated a strong relationship to personal and professional growth for all of the participants. Characteristics of the peer mentoring process such as shared learning, shared caring, reciprocity, commitment to each other's personal and professional growth, and friendship, are discussed.

Achievement↗
PubMed1999

Discovery of self: exploring, interconnecting and integrating self (concept) and nursing.

Self concept of individual nurses is still largely unexplored in nursing. While the role of self-knowledge and self-actualisation are recognised as integral to nursing practice, little has been done to examine their relationships to self concept and nursing practice. The aim of this research study was to explore the role and significance that self concept plays in women nurses' experience of their beginning practice. The exploration examined factors which contribute to and impact on self concept within a nursing practice environment. Self concept relates to how an individual experiences oneself and is integrally linked to one's interactions and relationships with others. This two phase research was situated in critical and feminist theory using reflective journalling (phase one) and story telling/narrative (phase two) as the research methods. This paper discusses the three major themes which arose in phase one of the research. Those were: exploring experiences; interconnecting personal and professional worlds; and, integrating self 'into' nursing. The paper also explores inter-subjectivity in terms of the contribution this concept makes to our understanding of research findings.

Female↗
PubMed1999

Women battering in primary care practice.

BACKGROUND: The organization of health care system to emphasize managed care has placed the primary care provider in an ideal position to assess the impact of intimate partner violence (IPV) on the health of women. Primary care practice provides a setting in which women can develop an ongoing relationship with their health care provider in which they feel safe to discuss IPV and possible options to improve their lives. Women's health and safety could be dramatically improved if primary care providers were prepared to assess, intervene and appropriately refer women who are in violent relationships. OBJECTIVES: The purpose of this article is to describe the prevalence of intimate partner violence in primary care populations and review the known physical, mental health and pregnancy consequences of abuse as well as discuss the implications of intimate partner violence on primary care practice.

Battered Women↗
PubMed1999

Contemporary theories and contemporary nursing--advancing nursing care for those who are marginalized.

This paper critiques the topic of postmodernism and how it is represented in nursing and social science literature. This critique classified the debates into three identifiable constructs, those being: dissatisfaction; fragmentation and integration. The authors propose a solution from the integration debate by putting forward the notion of an 'integrated postmodern turn'. The 'solution' is situated within feminism and draws on modernist and postmodernist theory. The integrated model is grounded in nursing clinical examples which demonstrate the usefulness and workability of this approach when caring for those who are marginalized by nurses because of their ethnicity, gender, cultural and/or spiritual beliefs.

Existentialism↗
PubMed1999

Making a difference with dying people: positive nurse-patient interactions.

This paper presents some of the qualitative findings from a recent research study, which explored the nature and effects of palliative nursing care for patients. By using story telling as the research methodology, the participants related their positive experiences about palliative care nursing. The results of the research indicated that there was a strong link between positive experiences and effective nurse-patient interactions. The characteristics and the results of these interactions are presented in this article. The article concludes with a discussion of the potential ethical problems of assessing palliative care patients suitability for research.

Attitude to Death↗